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NPI Code Detail

MEDICARE: KATHRYN MCCOY

MEDICARE:   KATHRYN  MCCOY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist110311TX

General Provider Information

NPI Number : 1699163477
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN MCCOY
Provider Business Mailing Address
First Line : 1716 CROOKED BRANCH CIR
Second Line :
City : ABILENE
State : TX
Zip : 79602-5228
Country : US
Telephone Number : 325-668-9108
Fax Number :
Provider Business Practice Location Address
First Line : 1751 N 15TH ST
Second Line :
City : ABILENE
State : TX
Zip : 79603-4430
Country : US
Telephone Number : 325-670-0984
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2015
Last Update Date : 01/02/2015

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Directions to “ KATHRYN MCCOY ” Practice Location

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